Individual
FNU EHTESHAMUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4087 SEADRAGON BLF, APARTMENT #49-H, SPRING HILL, FL 34609-0529
(352) 442-7648
Mailing address
4087 SEADRAGON BLF, APARTMENT #49-H, SPRING HILL, FL 34609-0529
(352) 442-7648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23425
FL
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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